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Associations between mother-preschooler attachment and maternal depression symptoms: A systematic review and meta-analysis

Author

Listed:
  • Shaylea Badovinac
  • Jodi Martin
  • Camille Guérin-Marion
  • Monica O’Neill
  • Rebecca Pillai Riddell
  • Jean-François Bureau
  • Rebecca Spiegel

Abstract

The current study aimed to systematically review and meta-analyze concurrent and longitudinal associations between maternal depression symptoms and mother-child attachment during the preschool period (aged 2 to 7 years) as assessed using the coding systems by Cassidy and Marvin (1992) and Main and Cassidy (1988). The review was pre-registered with PROSPERO (International Prospective Register of Systematic Reviews; Registration number CRD42017073417) and was conducted in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A total of 7,969 records were screened and 18 articles were deemed as eligible for inclusion in the review. Studies were reviewed using qualitative synthesis techniques and, where appropriate, meta-analysis. Qualitative synthesis indicated that mothers of disorganized/controlling children most consistently reported the highest levels of depressive symptoms, both concurrently and longitudinally. The association between disorganized/controlling child attachment and concurrent maternal depressive symptoms was significant (n = 1,787; g = 0.27, 95% CI [0.13,0.40]), and was not moderated by sample type, child gender, or risk of bias. Findings of a relationship between child attachment insecurity and maternal depressive symptoms must be qualified due to significant within-study heterogeneity and publication bias. Results suggest that maternal depressive symptoms may confer risk for disorganized/controlling attachment during the preschool period.

Suggested Citation

  • Shaylea Badovinac & Jodi Martin & Camille Guérin-Marion & Monica O’Neill & Rebecca Pillai Riddell & Jean-François Bureau & Rebecca Spiegel, 2018. "Associations between mother-preschooler attachment and maternal depression symptoms: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-27, October.
    • Handle: RePEc:plo:pone00:0204374
    DOI: 10.1371/journal.pone.0204374
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Tom M. Palmer & Jaime L. Peters & Alex J. Sutton & Santiago G. Moreno, 2008. "Contour-enhanced funnel plots for meta-analysis," Stata Journal, StataCorp LLC, vol. 8(2), pages 242-254, June.
    3. Viechtbauer, Wolfgang, 2010. "Conducting Meta-Analyses in R with the metafor Package," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 36(i03).
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    1. Chung, Gerard & Smith, Quinton & Frey, Joseph & Lanier, Paul, 2021. "Associations between depression and parenting of fathers in Head Start and parental self-efficacy as a protective factor," Children and Youth Services Review, Elsevier, vol. 120(C).

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